CHAPTER FOUR

ZHI

SH CH4

 

[Shinjiro’s Explanatory Notes]

1) I broke the text into sections and numbered them following the Japanese standard text, the Nippon Kanpo Kyokai Edition.

2) The words in [] are Shinjiro’s notes, not in the original text.

3) The words in () are added by Shinjiro to facilitate comprehension in English.

4) The words in {} are notes in small characters in the original texts.

The Fourth (Chapter)

Discussion of Pulse Evidences of

Zhi (convulsion), Shi (dampness), and Ye (sunstroke)

{Original Note} The letter Zhi* is pronounced same as (the character) Chi**. Also it is written (sometimes with the character) Jing*** (constriction). (The pronunciation of character Zhi is) the combination of the sounds Ju (zh) and Ying (i). All following Zhi sounds are the same.

 * zhi    zhi     ** chi     chi     *** jing   jing

Shinjiro's Note

It is interesting to know that the compilers had to note how to pronounce and understand the letter Zhi.        

 

(Clause 1)

The Tai-yang Disease caused by Shang-han (harmful cold) includes Convulsion (zhi), Dampness (shi) and Sunstroke (ye), and we will discuss each of them in the following section. Those diseases are similar to the Shang-han (harmful cold) disease, and that is why we discuss here.  

(Clause 2)

(One case of) the Tai-yang Illness, which causes fervescence (fa re) but no sweating (han), instead it causes chills (wu han), is named Gang Zhi (robust convulsion).

(Clause 3)

(One case of) the Tai-yang Illness, which causes fervescence (fa re) and sweating (han), and does not cause chills (wu han), is named Rou Zhi (elastic convulsion).

(Clause 4)

(One case of) the Tai-yang Illness, which causes fervescence (fa re) and makes the pulse (of the patient) Sinking (chen) and Thin (xi), is named Zhi (convulsion).  

(Clause 5)  

(A case of) the Tai-yang Illness, which causes sweating (han) excessively (tai duo) will accordingly cause Zhi (convulsion).   

(Clause 6) 

When an illness causes the feverish body with cold feet, the strong nape constriction, chills (wu han), the occasional hot head with the red complexion, red vessels in eyes, only the head swaying, sudden masticatory spasms (kou jin), the bent back with tension, it is the Zhi (constriction) disease.

(Clause 7)

(A case of) the Tai-yang Illness, which causes the achy joints and thus agony, with the pulse of Sinking (chen) and Thin (xi), [one book says Gentle (huan)], is named Damp Numbness (shi bi) [one book says Striking Dampness (zhong shi)].
The symptoms of Damp Numbness (shi bi) are patient’s urination difficulty, with rather good defecation. Just let ease the patient’s urination.

(Clause 8)

When a chronically Damp person (shi jia) is diseased, the whole body aches with fervescence (fa re), and the body color becomes smoked yellow.

(Clause 9)

If (a patient is) a chronically Damp person (shi jia) sweats just on his head with a stiff back and wants to wear a clothe over clothes facing to fire , and you purge him too early, and (the patient starts to) have hiccups, with the chest fullness, urination difficulty, with moss on his tongue, then he has fever in his Dan-tian (Ren5). He has Cold (han) in his chest, and thirst makes him to get water, but is unable to drink it, thus his mouth becomes dry and he suffers from anguish.

(Clause 10)

When a chronically Damp person (shi jia) is purged, he will sweat on his forehead, wheezing slightly, but urinates easily [one book says; with urination difficulty], then he shall die. If his diarrhea does not stop, then he will die also.

(Clause 11)

One questions that “When Wind (fen) and Dampness (shi) beat (us up) together, and whole body aches, the rule says on this illness that if sweats come out, we will be relieved (jie) from the illness. Once, while long rains did not stop, as a doctor told us to sweat the patient, we sweated him, but he had not relieved (from the illness). Why?”

(Master) answered, “When you sweated (the patient), and he started to sweat a lot, it meant only Wind (fen) left (the body), and Dampness (shi) was still there. That is why (the patient) was not healed. When (you) treat Wind (fen) and Dampness (shi)(together), and (the patient) sweats very slightly, almost unidentifiably, then Wind (fen) and Dampness (shi) both have left (the body).

(Clause 12)

The illness of a chronically Damp person (shi jia) will be body aches, with fervescence (fa re), and a yellow compression, wheezing, headache, a stuffed nose, and anxiety. If (the patient’s) pulse is Large (da), and (he) eats and drinks well, while his abdomen is harmonized without an illness, then his head is struck (zhong) by Cold (han) and Dampness (shi). Thus his nose is stuffed, but when the medicine is inserted into his nose, he will be cured.

(Clause 13)

When the patient’s whole body aches, with fervescence (fa re), and fever gets worse in the late afternoon (ri-bu-suo), this is called Wind Dampness (fen shi). This illness is caused by being harmed (shang) by Wind (fen) when (the patient) is sweating. Or it is caused by (the patient’s body) being harmed (shang) longtime by coolness (leng).

(Clause 14)

When the Tai-yang meridian is struck (zhong) by Heat (re), that is Ye (sunstroke). The patient sweats having chills (wu han), and he will have body fever and thirst.

(Clause 15)

The Tai-yang (meridian) Ye (sunstroke) stroke (zhong) patient who has body fever with aches and feelings of heaviness of the body, if his pulse is  Minute(wei) and Weak (ruo), this is because in summer months he harmed himself by cold water (leng shui), and water went into the skin.

(Clause 16)

The Tai-yang Ye (sunstroke) stroke (zhong) patient who has fervescence (fa re) with chills (wu han), feelings of heaviness of the body, thus body aches, if hispulse is String (xian), Thin (xi), Leak (kou) and Slow (chi), his urine stops. His body hairs raise with chilliness. His feet and hands are Adversely Cold (ni han). When he is a little bit exhausted (lao), his body gets heated, and his mouth opens, drying his front teeth. If (a doctor) sweats him, (it will cause) severe chills (wu han). If (a doctor) treats with a warm needle (wen zhen), (it will cause) severe fervescence (fa re). If (a doctor) purges this patient many times, (it will cause) severe painful urination (lin).

[END OF CHAPTER 4]

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